Executive Skills Retreat Registration

EXECUTIVE SKILLS FOR CHURCH LEADERS REGISTRATION

JANUARY 4-8, 2027 (check in January 3)

EXECUTIVE SKILLS FOR CHURCH LEADERS

Join us for a transformative week-long continuing education event designed specifically for pastors, deacons, and church leaders. This program provides a dedicated space to delve into leadership and various aspects of congregational life or whatever your ministry context may be.

Price includes: Five days of programming, five nights lodging (Sunday-Thursday) and 13 meals (5 breakfasts, 4 lunches, 4 dinners).

Name *

First

Last

Email *

Phone *

Synod/District/Conference/Diocese, if applicable

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Dietary Preference *SelectNoneGluten FreeVeganVegetarian

Identify dietary preferences for meals.

Gender *

• Female
• Male

Include a second participant? *

• Yes
• No

Second Participant Name *

First

Last

Second Participant Email *

Second Participant Synod/District/Conference/Diocese, if applicable

Second Participant Dietary Preference *SelectNoneGluten FreeVeganVegetarian

Identify dietary preferences for meals.

Include a third participant? *

• Yes
• No

Third Particpant Name *

First

Last

Third Participant Email *

Third Participant Synod/District/Conference/Diocese, if applicable

Third Participant Dietary Preference *SelectNoneGluten FreeVeganVegetarian

Identify dietary preferences for meals.

Include a fourth participant? *

• Yes
• No

Fourth Participant Name *

First

Last

Fourth Participant Preferred Pronouns *— Select Choice —she/herhe/himthey/themshe/theyhe/theyname-as-pronoun

Fourth Participant Email *

Fourth Participant Synod/District/Conference/Diocese, if applicable

Fourth Participant Dietary Preference *SelectNoneGluten FreeVeganVegetarian

Identify dietary preferences for meals.

Price Breakdown *

• 1 person, 1 additional roommate to be assigned – $1,350.00
• 2 people, 2 per room – $1,100.00
• 3 people, 3 per room – $950.00
• 4 people, 4 per room – $850.00
• 1 person Commuter (incl lunches, dinners, snacks) – $750.00

Pay by Credit Card *

Card Number

MM123456789101112Expiration

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YY2627282930313233343536

Security Code

Comments or Questions

Input the name of your roommate, if known in advance and paying separately, and any comments.

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